The effect of peer education based on adolescent health education on the resilience of children and adolescents: A cluster randomized controlled trial

lifestyle, and peer education knowledge and skills. Each training content lasted about 1 hour. The overall framework of the content and form of health intervention for primary and second- ary school students was the same, but in the actual training and intervention process, different emphases were planned according to the physical and mental development characteristics of primary and secondary school students. For example, breast development, pubic hair growth and puberty growth spurt were taught to primary school students through games and role plays, while menarche, first spermatorrhea and sexual psychology were taught to junior middle school students through knowledge competition and group discussion [43–45]. At the end of the peer education training session, the training effect of 76 peer educators was evaluated through a real-time questionnaire survey. The results showed that the correct rate of adoles- cent physiological health knowledge such as body hair growth, menstruation, spermatorrhea and other major mental health problems such as anxiety, irritability, depression were signifi- cantly improved for both boys and girls. On the other hand, the attitude score of correctly Fig 1. Flow chart of study. https://doi.org/10.1371/journal.pone.0263012.g001 PLOS ONE The effect of peer education based on adolescent health education on resilience of children and adolescents PLOS ONE | https://doi.org/10.1371/journal.pone.0263012 February 2, 2022 5 / 18